Patricia O’Malley, MD
Medical Director of Pediatric Palliative Care service and attending physician at the Massachusetts General Hospital for Children. She is also an assistant professor of pediatrics at Harvard Medical School.

"We should talk." Advance Care Planning in Primary Care Pediatrics.
An introduction to advance care planning and goals of care conversations for primary care pediatricians caring for seriously ill children. from MGHforChildren’s Primary Care Pediatrics conference 2018. Featuring Dr. Pat O’Malley, Medical Director, Pediatric Palliative Care at MGHfC, and Blyth Lord, Executive Director, Courageous Parents Network.
1 / 14

"We should talk." Advance Care Planning in Primary Care Pediatrics.

Palliative care gave us a language to talk to the medical specialists.

Palliative care helps reframe interventions like feeding tubes.

Palliative care fills a huge hole that comes from having a medically complex kid.

Family tributes to Dr. Patricia O'Malley, 2019 Ilene Beal Courageous Provider Award Recipient

Palliative Care Helps with Difficult Decisions

Decision-Making: We created a space where we examined what the Next Steps are.

For each intervention, we asked, “Is this going to benefit his quality of life or our family’s quality of life?”

Palliative Care helps with difficult decisions

Re feeding tubes: It's about asking the right questions.

Medical Order forms: Do Not Resuscitate, Allow Natural Death

The last 24 hours: We were not ready for it. “Wait a minute, we’re off script.”

I did go through a brief period after where I wondered if I’d make the right decision.
